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[Gastric bezoar].

M I Correa Antúnez1, A Serrano Calle, J J Pimentel Leo

  • 1Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Infanta Cristina, Hospital Universitario Materno-Infantil, Badajoz.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|August 2, 2001
PubMed
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A gastric trichobezoar, a rare digestive mass, was found in a girl post-appendectomy. Diagnosis involves imaging and endoscopy, with surgery often required for large bezoars.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Diagnostic Imaging

Background:

  • Bezoars are masses formed from indigestible materials in the gastrointestinal tract.
  • Gastric trichobezoars, specifically composed of hair, are uncommon, particularly in children.
  • This case highlights a rare presentation discovered during routine follow-up.

Observation:

  • A pediatric patient presented with a gastric trichobezoar discovered incidentally after an appendectomy.
  • Diagnostic modalities included ultrasound imaging and esophagogastric transit studies.
  • Esophagogastroduodenoscopy (EGD) confirmed the diagnosis and excluded concurrent peptic ulcer disease.

Findings:

  • The patient had a large gastric trichobezoar requiring intervention.
  • Ultrasound and esophagogastric transit studies were crucial for initial diagnosis.

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  • Endoscopy confirmed the trichobezoar and ruled out associated ulcers, which are common comorbidities.

    • Implications:

    • Surgical excision remains the primary treatment for large gastric trichobezoars.
    • Minimally invasive techniques like laser therapy and endoscopic dissolution are alternative options.
    • Long-term psychological support is recommended for patients with trichobezoars due to potential underlying behavioral issues.